Surrounding Residential Greenness and Health: Associations With Abdominal Obesity and Dyslipidemia. A Meta-Analysis of Cross-Sectional Studies.
Irene Marcilla-Toribio, Bruno Bizzozero-Peroni, Blanca Notario-Pacheco, Shkelzen Cekrezi, Martin Fernandez-Perez, Ana Perez-Moreno, Ana Diez-Fernandez, Maria Martinez-Andres
Author Information
Irene Marcilla-Toribio: Health and Social Research Centre, Universidad de Castilla-La Mancha, Cuenca, Spain.
Bruno Bizzozero-Peroni: Health and Social Research Centre, Universidad de Castilla-La Mancha, Cuenca, Spain.
Blanca Notario-Pacheco: Health and Social Research Centre, Universidad de Castilla-La Mancha, Cuenca, Spain.
Shkelzen Cekrezi: Health and Social Research Centre, Universidad de Castilla-La Mancha, Cuenca, Spain.
Martin Fernandez-Perez: Fundación Biomédica Galicia Sur, Grupo I-Saúde, Vigo, Spain.
Ana Perez-Moreno: Health and Social Research Centre, Universidad de Castilla-La Mancha, Cuenca, Spain.
Ana Diez-Fernandez: Health and Social Research Centre, Universidad de Castilla-La Mancha, Cuenca, Spain.
Maria Martinez-Andres: Health and Social Research Centre, Universidad de Castilla-La Mancha, Cuenca, Spain.
Objectives: We aimed to quantify the relationships of surrounding residential greenness with abdominal obesity and dyslipidemia. Methods: A systematic search was conducted in January 2024 through 5 electronic databases including Pubmed, Scopus, Web of Science, and CINHAL (Complete and GreenFILE). The DerSimonian and Laird method was used to calculate the pooled odds ratios (ORs) and their respective 95% confidence intervals (CIs). The study protocol was registered in PROSPERO (CRD42024528548). Results: Eleven cross-sectional studies involving 564,254 individuals with a mean age of 55.95 years were included. A significant inverse relationship was observed between increased surrounding greenness and lower odds of abdominal obesity (OR: 0.80; 95% CI: 0.70-0.91), elevated TG (OR: 0.97; 95% CI: 0.96-0.97), and low HDL-C levels (OR: 0.98; 95% CI: 0.95-1.00). Conclusion: Abdominal obesity and elevated triglyceride levels could be reduced in the general adult population by increasing residential greenness. These findings underscore the importance of integrating greenness into urban planning and public health policies to promote healthier environments. Interventions such as the development of urban green spaces could play a crucial role in reducing cardiometabolic risk factors. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024528548.
